- Humana (Jackson, MS)
- …a part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence ... Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing … more
- Humana (Jackson, MS)
- …healthcare industry as a whole. **Assignment Capsule** Humana is seeking a Senior Process Improvement Professional that will collaborate with the business ... process improvements. Present ideas to leadership. + Support improvement initiatives around month end close, analytics, reconciliations and financial reporting… more
- Humana (Jackson, MS)
- …is to develop organized analytics, reports and data management to support Quality Improvement within the Medicaid product line. + Integrates data from multiple ... portals or resources. + The Senior Data and Reporting Professional influences Quality Improvement strategy. + May...or Masters in Public Health + Experience working with Medicaid population data is strongly preferred. + Experience with… more
- Humana (Jackson, MS)
- …and is comfortable with technology, controls, compliance, Agile methodologies, and process improvement . The ideal candidate is customer-centric, welcoming ... help us put health first** The Lead Technology Leadership Professional is responsible for all aspects of the Systems...SDLC Process Owner plans, performs and implements process improvement initiatives and works on problems… more
- Humana (Jackson, MS)
- …tasks and deadlines and manage multiple priorities. + Commitment to continuous process improvement . + Exceptional verbal and written communication skills. + ... File Review Universes. + Registered Nurse or Behavioral Health professional . + Managed care, Medicaid health plan...and trainings. **Interview Format** As part of our hiring process , we will be using an exciting interviewing technology… more
- Humana (Jackson, MS)
- …community and help us put health first** Healthcare Quality Reporting & Improvement (HQRI) is an organization responsible for improving health outcomes and advancing ... toward growth of analytics-driven and interoperable solutions. The Program Delivery Professional 2 supports provider programs by executing operational tasks and… more
- Public Consulting Group (Jackson, MS)
- …healthcare providers and State Medicaid agencies to complete, review, and process Medicaid and Medicare cost reporting requirements. Throughout these project ... LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies to… more
- Humana (Jackson, MS)
- …sound business decisions **Preferred Qualifications** + Advanced certifications in software and/or process improvement + Experience with Medicaid + ... problems within department(s), and could lead multiple managers or highly specialized professional associates. Humana offers a variety of benefits to promote the… more
- Public Partnerships LLC (Jackson, MS)
- …**Required Skills:** . Outstanding PC spreadsheet skills required. . Detailed and process improvement oriented. . Ability to read and understand technical ... and most experienced Financial Management Service provider is to assist those eligible Medicaid recipients to choose and pay for their own support workers and… more
- Humana (Jackson, MS)
- …SQL, Azure Synapse Analytics (ASA), SAS, and other technical skills to drive process improvement and assist markets in managing their value-based relationships + ... in data mining, forecasting, simulation, and/or predictive modeling + Knowledgeable in process improvement and metrics development + Knowledgeable in regulations… more
- Highmark Health (Jackson, MS)
- …provider education and outreach, and coding quality.20% + Develops and presents process improvement and training initiatives to improve efficiency and accuracy ... improvement , provider education, report analysis, and/or identification of process improvements. Mentors new hires, creates training materials, and delivers… more
- Humana (Jackson, MS)
- …and take proactive steps to resolve. + Ability to identify opportunities for process improvement , savings and risk abatement. + Excellent analytical and critical ... best practices, including supply market analyses, Porter's Five Forces, should-cost models, process and domain expertise. + Work with IT to identify new suppliers… more
- Public Consulting Group (Jackson, MS)
- …LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies to ... * Develop and deliver regular status reporting * Facilitate change order process * Identifies, tracks, and manages project risks/issues; including coordination for… more
- Highmark Health (Jackson, MS)
- …to drive capture of correct Risk Adjustment coding including documentation improvement , provider education, analyzing reports, and identifying process ... medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation… more
- Humana (Jackson, MS)
- …Stars specifications, processes, and schedules + Support clinical quality improvement by developing code, creating reports, and improving data/analytic capabilities ... and creation of data visualizations that drive strategic vison ** Professional Maturity** + Passion for contributing to a cross-functional...PHI / HIPAA information As part of our hiring process for this opportunity, we will be using an… more
- Humana (Jackson, MS)
- …segment. The Financial Planning and Analysis team is looking for a seasoned professional to lead strategic planning and business management for the team. The primary ... align and track success metrics. Identify gaps and make recommendations for improvement . Establish, operate, and improve the systems that capture, track, and… more